School Form 1 School Register for Senior High School (S

School Name St. Bernard College School ID 411033 District Agoo East Division La

Semester First Semester School Year 2018 - 2019 Grade Level Grade 11 Track and Strand

Section GAS Section Course (for TVL only)

AGE COMPLETE ADDRESS PARENTS

as of

Sex (M/F)
NAME BIRTH DATE 1st Mother's Ma
LRN Religious Affilication
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Frida Father's Name (Last Name (La
House #/ Street/ Sitio/ Municipality/
y Purok
Barangay
City
Province Name, First Name, Name, Fir
June Middle Name) Name, Mid
Name)

ONGOTAN,V
100964070001 ACENAS,MICHAEL ANGELO ONGOTAN M 05/21/2001 16 Christianity RISSING BANGAR LA UNION ACENAS, ARNEL P
NIA,MAGANI

ALMOITE, MOSUELA,R
100877070004 ALMOITE,OLIVER MOSUELA M 06/01/2002 15 Christianity ORTEGA BACNOTAN LA UNION
ORLANDO UGOT DIOS,LIBAO,

PARATONG BANAO, JOSEPH MIANO,ANIT

100901060050 BANAO,JHON PAUL MIANO M 02/17/2001 16 Christianity BANGAR LA UNION
NORTE MURAO ONIS,

OAQUI NO. CORPUZ, ROLEX GIRON,GEMM

100964070016 CORPUZ,ROGIE GIRON M 08/04/2002 15 Christianity LUNA LA UNION
4 CONTAOI N,LABARENT

NAGSABAR DOMONDON, VILLANUEVA

100891070019 DOMONDON,JOHN JOHN VILLANUEVA M 08/14/2001 16 Christianity BANGAR LA UNION
AN TEOFILO VIERNES IL,MORDIN,

GUZMANI,
PARATONG NARDO,PRIS
100901070031 GUZMANI,JAMES NARDO M 09/06/2001 15 Christianity BANGAR LA UNION DIONOSIO
NORTE A,BLANCO,
NANOZO

PARATONG GUZMANI, NARDO,PRIS

100901070032 GUZMANI,JERALD NARDO M 09/06/2001 15 Christianity BANGAR LA UNION
NORTE DIONISIO NANOZO A,BLANCO,

BANGAOILA LAZO, RAPHY GALOLO,REM

100892070024 LAZO,RALPH KEANNETH GALOLO M 06/28/2001 16 Christianity BANGAR LA UNION
N EAST MOSUELA ADINGAN,

PERALTA, VICTORIO
100903070029 PERALTA,SHERWIN EYAM M 05/27/2002 15 Christianity RISSING BANGAR LA UNION EYAM,MELBA
MACADAEG

SINGASING, BAYOOT,FLO
100331070018 SINGASING,EDWARD BAYOOT M 12/10/1999 17 Christianity BANGA SUGPON ILOCOS SUR
ELPIDIO BUNIAS LLIONG,

10 <=== TOTAL MALE

BARRIENTO ASTO, GREGORIO PALANGGOY

100950070004 ASTO,GLADYS PALANGGOY F 06/09/2002 15 Christianity LUNA LA UNION
S OMANITO NALIN,,
MUPAS,MAG
100900070001 BALAGOSA,RHEA MUPAS F 06/12/2001 16 Christianity MINDORO BANGAR LA UNION BALAGOSA, REMUS
ENA,,

GENERAL BUTON, RODOLFO VISAYA,TERE

100896070008 BUTON,LALA MAE VISAYA F 07/07/2002 15 Christianity BANGAR LA UNION
PRIM WEST DABALOS ,AQUINO,
ol (SF1-SHS)

La Union Region Region I

Academic Track -General Academic Strand

GUARDIAN
TS (if learner is not Living with REMARKS
Parent) Contact
Number
Mother's Maiden of Parent
Name
Name (Last or (Please refer to
(Last Name, First
Name, First Relationship Guardian the legend on last
Name, Name
Name, Middle page)
Extension, Middle
Name)

ONGOTAN,VIRGI
RELATIVE Pending TI
NIA,MAGANIS,

MOSUELA,REME T/I DATE:2018-06-

PARENT
DIOS,LIBAO, 13

MIANO,ANITA,AD T/I DATE:2018-06-

PARENT
ONIS, 13

GIRON,GEMMALY
Pending TI
N,LABARENTO,

VILLANUEVA,CYR T/I DATE:2018-06-

L,MORDIN, 13

NARDO,PRISCILL T/I DATE:2018-06-

RELATIVE
A,BLANCO, 13

NARDO,PRISCILL T/I DATE:2018-06-

RELATIVE
A,BLANCO, 13

GALOLO,REMY,G T/I DATE:2018-06-

PARENT
ADINGAN, 13

EYAM,MELBA,, RELATIVE Pending TI

BAYOOT,FLOR,TU T/I DATE:2018-06-

LLIONG, 13

PALANGGOY,HER T/I DATE:2018-06-

PARENT
NALIN,, 13
MUPAS,MAGDAL T/I DATE:2018-06-
PARENT
ENA,, 13

VISAYA,TERESITA T/I DATE:2018-06-

AQUINO, 13
 CENTRAL
CALORA, JUANITO TABUSO,JOA
100893070024 CALORA,ALIYAH KRISTINE TABUSO F 07/18/2001 16 Christianity WEST NO. 1 BANGAR LA UNION
OBILLO NEDA,
(POB.)

100876070008 CORPUZ,APRIL ANNE MURAO F 04/01/2002 15 Christianity BALAOAN LA UNION CORPUZ, ARNULFO MURAO,MYL

OMINGA, ROLANDO
100903070005 DIAZ,JHENG JHENG - F 02/05/2002 15 Christianity RISSING BANGAR LA UNION DIAZ,MYLEN
M
CENTRAL
DOMONDON, MONIS,VIVIA
100893070044 DOMONDON,JOYCE MONIS F 07/26/2001 16 Christianity EAST NO. 2 BANGAR LA UNION
DARWIN PEREZ ARQUEZ,
(POB.)

MARINAS,LE
101106070011 DONAT,CHRISTINE JOY MARIÑAS F 08/26/2001 16 Christianity CASTRO SUDIPEN LA UNION DONAT, LEO BINGO
A,TORRES,

CENTRAL
ENRIQUEZ, EDMAR TABLANG,MY
104247070021 ENRIQUEZ,EDMALYN TABLANG F 11/19/2001 15 Christianity EAST NO. 1 BANGAR LA UNION
CORTEZ E,GODOY,
(POB.)
NATIVIDAD,F
100900070011 ESPIRITU,JESSALYN NATIVIDAD F 05/05/2001 16 Christianity MINDORO BANGAR LA UNION ESPIRITU, ELPIDIO
DELIZA,,
GONZALES,L
300114110259 MARQUEZ,JESSA MARIE GONZALES F 07/24/1998 19 Christianity BANGAR LA UNION
DES,,

GENERAL MONTE, RILLORTA,VI

100896070028 MONTE,MAR FLORENCE RILLORTA F 03/03/2001 16 Christianity BANGAR LA UNION
PRIM WEST FRANCISCO VISAYA ,GENETIANO

GENERAL MONTE, RILLORTA,VI

100896070029 MONTE,MONICA RILLORTA F 06/14/2002 15 Christianity BANGAR LA UNION
PRIM WEST FRANCISCO VISAYA ,GENETIANO

RIVERA,MAG
100900070024 MURAO,EMILY RIVERA F 08/20/2000 17 Christianity MINDORO BANGAR LA UNION MURAO, CESAR
ENA,,

REYNA OLPINDO, ARSENIO CASTILLO,JO

100895070062 OLPINDO,ARSEJOY CASTILLO F 10/25/2001 15 Christianity BANGAR LA UNION
REGENTE SABADO HINE,FERIA,

PILLOS, RONALDO BALAGOT,RU

101114070056 PILLOS,HANNA LEE BALAGOT F 11/09/2002 14 Christianity IPET SUDIPEN LA UNION
SAMPAGA YN,ROSIMO,

RAMON, WILSON BALANTES,E

104359070010 RAMON,WILMA BALANTES F 06/01/2001 16 Christianity SAN RAMOS NAGTIPUNAN QUIRINO
LABUNGAN ,,
MARIA
REAL, ERNIE DE MIRAM,ERLIN
100899060034 REAL,JESSA MAE MIRAM F 08/04/2000 17 Christianity CRISTINA BANGAR LA UNION
PEDRO MAGUMCIA,
EAST
REDULFIN,IR
100903070030 REDULFIN,IRISH JOY - F 05/16/2001 16 Christianity RISSING BANGAR LA UNION
,RAMOS,
RICARDE,
MACAYAN,M
100891070045 RICARDE,GINA MACAYAN F 08/18/2001 16 Christianity BARRACA BANGAR LA UNION ANASTACIO
ES,SIBAYAN,
SIBAYAN

VALDEZ, ISABELO BOCARILE,E

100875070131 VALDEZ,GLORYLY BOCARILE F 04/14/2001 16 Christianity BULBULALA BALAOAN LA UNION
OBEJAS JR BETH,VICTO

OPENA,MAR
NAGSABAR VICTORIA,
100891070049 VICTORIA,WEA MAY OPENA F 07/18/2001 16 Christianity BANGAR LA UNION ROSARIO,NU
AN WILFREDO LUCINA
,

WAHING, JERRY RIVERA,LOR

100895070087 WAHING,SHERLY RIVERA F 09/30/2001 15 Christianity ALZATE BANGAR LA UNION
CAMPANAS MURAO,

23 <=== TOTAL FEMALE

33 <=== COMBINED

Legend: List and Code of Indicators under REMARKS column

TABUSO,JOAN,PI T/I DATE:2018-06-
PARENT
NEDA, 13

MURAO,MYLEN,, PARENT Pending TI

DIAZ,MYLENE,P, PARENT Pending TI

MONIS,VIVIAN,M T/I DATE:2018-06-

PARENT
ARQUEZ, 13

MARINAS,LEONIL T/I DATE:2018-06-

A,TORRES, 13

TABLANG,MYLAN T/I DATE:2018-06-

PARENT
E,GODOY, 13

NATIVIDAD,FLOR T/I DATE:2018-06-

RELATIVE
DELIZA,, 13
GONZALES,LOUR T/I DATE:2018-06-
PARENT
DES,, 13

RILLORTA,VIRGIE T/I DATE:2018-06-

RELATIVE
GENETIANO, 13

RILLORTA,VIRGIE T/I DATE:2018-06-

PARENT
GENETIANO, 13

RIVERA,MAGDAL T/I DATE:2018-06-

PARENT
ENA,, 13

CASTILLO,JOSEP T/I DATE:2018-06-

PARENT
HINE,FERIA, 13

BALAGOT,RUBEL T/I DATE:2018-06-

PARENT
YN,ROSIMO, 13

BALANTES,ELMA T/I DATE:2018-06-

, 13

MIRAM,ERLINDA, T/I DATE:2018-06-

MAGUMCIA, 13

REDULFIN,IRENE
Pending TI
RAMOS,

MACAYAN,MARIT T/I DATE:2018-06-

PARENT
ES,SIBAYAN, 13

BOCARILE,ELIZA
Pending TI
BETH,VICTORY,

OPENA,MARIA
T/I DATE:2018-06-
ROSARIO,NUÑEZ PARENT
13

RIVERA,LORETA, T/I DATE:2018-06-

PARENT
MURAO, 13
 Prepared by;
Beginning of the End of the
Indicator Code Required Information Indicator Code Required Information REGISTERED
Semester Semester

Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 10
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Signat
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner FEMALE 23
Exceptionality Beginning of the Semester
Accelerated ACL Specify Level & Effectivity Date Date:

TOTAL 33
2018-06-13

Generated on: Friday, September 28, 2018

 RODOLFO MORTA CORPUZ

(Signature of Adviser over Printed Name)

ter End of the Semester Date:

2018-10-26